What Happens During a Hearing Assessment?


hearing test

Taking a hearing test is probably one of the simplest things you will ever do. If you
suspect your hearing is not what it used to be, or if friends and relatives are saying that you’re asking to repeat too often, you could have some hearing loss. Generally an appointment is required.

A complete hearing assessment should determine the degree of loss, type of loss, and potential benefit from amplification. Once at the appointment, you will fill out a brief questionnaire. The audiologist will see you and ask some background questions. Your ears will be inspected with an otoscope or a video otoscope, which is a television camera type of otoscope to view the inside of your ears.

Next you will enter a soundproof booth. Headphones will be placed on your head and you will be asked to respond by raising your hand, saying yes, or pushing a button to various tones. The tones vary in frequency from low to high pitch. The range of frequencies covers the area where the majority of the parts of speech occur from vowels to consonants.

The test results are plotted on a graph called an audiogram. It shows how much from normal your hearing has dropped and at which frequencies. At this point, speech tests will be done to determine how soft you can just barely hear and understand speech, how your hearing loss is affecting your ability to understand normal speech, and what your aided speech understanding potentials are.

The quick self-test below can help you identify whether or not you may be experiencing signs of hearing loss and need to schedule an appointment.

How’s Your Hearing?

Self Quiz


(From Michigan Association for Deaf, Hearing and Speech Services)

Directions: Choose the answer that best fits your situation. Then total your answers at the bottom of the page.

1. In a conversation with one person, I have to strain to hear.

2. Following conversations with more than two people at the same time is difficult.

3. I respond inappropriately to comments because I have misunderstood what others are saying.

4. People seem to mumble.

5. I ask people to repeat some of all of what they have said.

6. People are annoyed because I misunderstand what they say.


7. I avoid social activities because I cannot hear well and might respond inappropriately or miss out on conversation.


8. At a party or other noisy event, I have trouble hearing conversation.


9. I turn the volume on the television or radio up. Others in the house complain that it is too loud.


10. Voices are hard to understand on the telephone.


11. I miss calls and visitors because I don’t hear the phone or doorbell ringing.


12. I work or have worked in a noisy environment (factory assembly line, jet airplanes, power tools, jackhammers).


13. I get confused about where the sounds come from.


14. Women and children are more difficult to understand than men.


15. I experience a ringing in my ears after being around a loud noise.


16. My family, friends or co-workers have asked me if I have a hearing loss.

Total the number of answers in each category and multiply each total by the number indicated.

_____Total # of "Never" multiplied by 0 = ____
_____ Total # of "Sometimes" multiplied by 1 = _____
_____ Total # of "Often" multiplied by 2 = _____
_____ 0Total # of "Almost Always" multiplied by 3 = _____

Now add the points!

If you scored:

0-5 You do not appear to have a hearing loss. Continue your awareness of hearing concerns. Take this self-test again next year at this time.

6-14 Your hearing may be affected. Make an appointment with an ear-nose-throat specialist.

15+ You have a hearing loss. Make an appointment with an audiologist or have your hearing evaluated at a speech and hearing center.